# DR. ALFREDO LUIS AXTMAYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598747602
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 022215 | CT | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 03/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004239176 | — | CT |
| 01 | — | 0045604 | AETNA ID \# | CT |
| 01 | — | 010022215CT07 | ANTHEM ID \# | CT |
| 01 | — | 2V3535 | HEALTHNET ID \# | CT |
| 01 | — | 783182 | CONNECTICARE ID \# | CT |
| 01 | — | P1279064 | OXFORD ID \# | CT |